The Fidelis Care Blog

Fidelis Care would like to alert providers of an important change to the NYRx Pharmacy Program’s coverage, effective 04/01/2025.

I cherish being a social worker. It has helped me become a better person who is more patient and resilient. I started in the social work profession as an HIV caseworker at an organization that assisted the immigrant population. My role involved addressing barriers to healthcare access. I then transitioned into the role of a medical social worker at a community health center. This experience allowed me to work with patients across different age groups, including children, adults, and the elderly.

Fidelis Care’s Pharmacy Services would like to provide a reminder and clarity on how to submit claims for medications billed under the member’s medical benefit, as well as the appropriate Servicing Provider to document when submitting a Pharmacy Prior Authorization request for such medications.

Providers, please remember to review content available in Provider Access Online (Fidelis Care's secure Provider Portal) and the rest of this Provider section of the Fidelis Care website.

You asked and we listened! Fidelis Care is pleased to announce that claim status letters are now available on Provider Access Online, Fidelis Care’s Provider Portal, in the File Download section.